Chest x-ray in a #newborn shows coiling of the enteric tube | Figure 1
CincyKidsRad
Cincinnati Children's Radiology
Chest x-ray in a #newborn shows coiling of the enteric tube (arrow) in a proximal esophageal pouch characteristic of esophageal atresia. In this case, the presence of air in the stomach tells us that there MUST be a tracheoesophageal fistula connecting to the distal #esophagus. A distal #fistula is the most common type of fistula accounting for 80-85% of cases. #ThoraxThursday
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9 month old with type C #tracheoesophageal fistula / esophageal atresia. Recurrent TEF following esophageal dilation months prior at other institution; large enough to drive a 3.1mm flexible bronchoscope through. Awaiting repair developed resp failure due to human metapneumovirus. Hard to ventilate due to leak through TEF. Stabilized with Fogarty balloon in esophagus occluding fistula and held in place by esophageal stricture. 1st pic before and after. 2nd shows TEF. 3rd/4th show Fogarty inflated beyond esophageal stricture. 5th shows balloon on CXR.
AP chest radiograph in a newborn shows a nasogastric tube coiled within a dilated gas-filled proximal esophageal pouch, a typical appearance for esophageal atresia. Gas is visualized in the stomach and bowel, confirming the presence of a concomitant tracheo-esophageal fistula. #ThoraxThursday
Frontal radiograph of the chest shows an enteric tube (arrow) coiled within the proximal esophageal pouch. This finding is typical of esophageal atresia. Note the presence of air within the stomach (arrowhead) confirming the presence of a tracheoesophageal fistula. While esophageal atresia with a tracheoesophageal fistula can be an isolated finding, 50-75% of patients have other associated abnormalities. Common associations include VACTERL sequence and cardiovascular defects.
2 month old with type C tracheoesophageal fistula with long gap esophageal atresia. Gap measured at 4 cm by simultaneous insertion of flexible bronchoscopes in proximal and distal esophageal pouches (via nose and gastronomy stoma) with mild pressure as x ray taken.